Senior Network & Provider Analytics
Tasks
- Analyze medical cost utilization membership trends
- Conduct reimbursement strategy analysis
- Coordinate provider network re contracting
- Design reports and financial analytics
- Identify trend drivers and improvement opportunities
- Lead provider negotiation support
- Manage provider risk deal communication
- Perform cost avoidance and cost recovery analysis
- Prepare regulatory submissions
- Summarize competitive reimbursement positions
Perks/Benefits
- Life and disability insurance
- Medical, dental, and vision coverage
- Paid time off
- Retirement plans
- Tuition program
- Well-being benefits
Skills/Tech-stack
Access | CPT | Claims data | DRGs | Excel | Financial analytics | HCPCS | Health claims data | ICD-10 | ICD-9 | MRF | Managed care | Medical coding | Power Query | Provider reimbursement | RFP | Risk adjustment | SAS | SQL | Tableau | Utilization analytics
Regions
Countries
States
Cities
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